DR. PATRICIA STOLTZ (NPI# 1174068480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174068480 |
| Entity Type | Individual |
| Full Name | DR. PATRICIA STOLTZ |
| Credential | DNP, RN, PCNS-BC |
| Practice Address |
6100 Eastridge Rd Odessa TX 79762-5002 |
| Practice Telephone | 4323322080 |
| Practice Fax Number | 8662987237 |
| Mailing Telephone | 4323322080 |
| Mailing Fax Number | 8662987237 |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2016-12-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0200X |
Clinical Nurse Specialist Specialization: Pediatrics |
750760 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6100 EASTRIDGE RD |
| City | ODESSA |
| State | TX |
| Zip Code | 79762-5002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104950658 | Carl D Brown | Psychiatry & Neurology | 6100 Eastridge Rd, Odessa, TX 79762-5002 | 2007-03-15 |
| 1952969529 | Veronica Aguilar | Nurse Practitioner | 6100 Eastridge Rd, Odessa, TX 79762-5002 | 2019-05-30 |
| 1114456449 | Atanacio Gomez | Family Medicine | 6100 Eastridge Rd, Odessa, TX 79762-5002 | 2017-06-09 |
| 1558801191 | Jaci Rich | Nurse Practitioner | 6100 Eastridge Rd, Odessa, TX 79762-5002 | 2017-03-01 |
| 1306152103 | Compass Pediatrics, Pllc | Clinic/Center | 6100 Eastridge Rd, Odessa, TX 79762-5002 | 2010-08-31 |
| 1427272749 | Tamara Rachelle Bavousett | Nurse Practitioner | 6100 Eastridge Rd, Odessa, TX 79762-5002 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982256798 | Winwood Dental and Orthodontics Pllc | Dentist | 3913 E 42nd Street, Odessa, TX 79762 | 2019-07-11 |
| 1265995716 | Ryan Daniels | Specialist/Technologist | 4901 E University, Gym 111, Odessa, TX 79762 | 2019-04-11 |
| 1215429592 | Michael Wayne Samp | Respiratory Therapist, Registered | 2807 Windsor Dr, Odessa, TX 79762 | 2018-06-03 |
| 1972003663 | Kristi Young | Registered Nurse | 3800 E. 42nd St., Suite 203 Attn: Pediatric Dept, Odessa, TX 79762 | 2018-02-19 |
| 1427508902 | Whitney Diakur | Optometrist | 5011 E. 42nd St, Odessa, TX 79762 | 2016-10-10 |
| 1295184927 | Farqad Kamal Abuoudeh | Dentist | 6109 Tx-191 Frontage, Odessa, TX 79762 | 2016-06-03 |
| 1457714180 | Daniel & Max, LLC | Optometrist | 5011 E. 42nd Street, Odessa, TX 79762 | 2016-03-31 |
| 1407225774 | Neri Campos-gardea | Massage Therapist | 3952 E 42d, Odessa, TX 79762 | 2015-09-17 |
| 1508255886 | Permian Er IIi | Clinic/Center | 6131 East Highway 191, Odessa, TX 79762 | 2015-01-09 |
| 1548675861 | Tina Desai | Dentist | 6109 Texas 191, Odessa, TX 79762 | 2014-06-25 |
| Find all providers in zip 79762 | ||||
| Taxonomy Code | 364SP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942830211 | Katherine Ann Kunkle | Clinical Nurse Specialist | 200 West Ave, Pasadena, TX 77502-3630 | 2020-01-24 |
| 1790254241 | Daaiyah Ward | Clinical Nurse Specialist | 1810 16th St, Hempstead, TX 77445-5852 | 2018-11-14 |
| 1285134940 | Frankie Lynn Brown | Clinical Nurse Specialist | 209 Rodney St, Hawkins, TX 75765-2769 | 2018-02-19 |
| 1295123818 | Jessica Denise De Lara | Clinical Nurse Specialist | 1390 George Dieter Dr Ste 100, Suite C, El Paso, TX 79936-7423 | 2015-01-05 |
| 1316344385 | Jessica Dominguez | Clinical Nurse Specialist | 4321 N Mesa St Ste B, El Paso, TX 79902-1105 | 2014-11-19 |
| 1609104066 | Mary Olivia De Leon | Clinical Nurse Specialist | 4920 N. Expressway, Alton Gloor Plaza#101, Brownsville, TX 78526 | 2009-11-24 |
| 1245471010 | Celeste Maria Boyd | Clinical Nurse Specialist | 7602 Lonecrest Ln, Converse, TX 78109-3245 | 2009-03-09 |
| 1881834539 | Iris Well Child Physicals | Clinical Nurse Specialist | 200 W. Edinburg Hwy 107, Suite B, Elsa, TX 78543-1274 | 2009-02-20 |
| 1609892041 | Melissa E Fondren | Clinical Nurse Specialist | 710 Bedell, Del Rio, TX 78840-6072 | 2006-07-15 |
| 1831735091 | Diana Lynn Cardwell | Clinical Nurse Specialist | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2019-11-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.